{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T16:53:09Z","timestamp":1785775989051,"version":"3.56.0"},"reference-count":62,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T00:00:00Z","timestamp":1784246400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pauwels type III femoral neck fractures (P3FNFs) are one of the common types of femoral neck fractures (FNF) caused by high\u2010energy violent factors. This study aims to evaluate the efficacy of inverted cannulated cancellous screw (ICCS) assisted transversal cannulated screw (TCS) perpendicular to the fracture line in young adults with Pauwels type III femoral neck fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Construct an internal fixation\u2010fracture model through finite element analysis (FEA) and biomechanical test (BT) to simulate the stress environment of the human hip joint, and utilize the femoral neck system (FNS) model as a control to predict the biomechanical properties of ICCS\u2009+\u2009TCS. From January 2023 to December 2024, 21 patients with P3FNFs treated with ICCS\u2009+\u2009TCS were collected, and their recent radiographic and clinical outcomes were evaluated. The experimental data underwent statistical analysis using one\u2010way ANOVA and independent samples\n                      <jats:italic>t<\/jats:italic>\n                      \u2010test.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>\n                      ICCS\u2009+\u2009TCS exhibits biomechanical trends in FEA and BT that are essentially consistent with those of FNS. ICCS\u2009+\u2009TCS has stronger torsional stiffness and lower overall deformation, But the resistance to vertical shear force is weaker than FNS. All patients in this study successfully completed the surgery without complications such as vascular or nerve injuries. The follow\u2010up period ranged from 8 to 25\u2009months. The hip joint flexion\u2010extension ROM, internal\u2013external rotation ROM, and Harris score all significantly increased (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). The shortening length of the femoral neck was 3.87\u2009\u00b1\u20090.44\u2009mm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ICCS\u2009+\u2009TCS exhibits biomechanical trends compared to FNS; meanwhile, it has stronger torsional resistance and load\u2010bearing deformations. Simultaneously, ICCS\u2009+\u2009TCS has demonstrated favorable outcomes in clinical treatments. This study offers a novel approach for the treatment of P3FNFs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.70377","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T09:54:15Z","timestamp":1784282055000},"page":"1734-1752","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the Effectiveness of \u201cFour\u2010Point\u201d Configuration Cannulated Compression Screw Implantation Protocol for the Fixation of Pauwels Type\n                    <scp>III<\/scp>\n                    Femoral Neck Fractures in Adults"],"prefix":"10.1111","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4084-1568","authenticated-orcid":false,"given":"Yujie","family":"Li","sequence":"first","affiliation":[{"name":"Department of Joint Surgery People's Hospital of Leshan  Leshan China"},{"name":"Department of Orthopedics Affiliated Hospital, Southwest Medical University  Luzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenyu","family":"Wen","sequence":"additional","affiliation":[{"name":"Department of Joint Surgery People's Hospital of Leshan  Leshan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhang","family":"Jian","sequence":"additional","affiliation":[{"name":"Department of Joint Surgery People's Hospital of Leshan  Leshan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5988-8361","authenticated-orcid":false,"given":"Naiqiang","family":"Zhuo","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Affiliated Hospital, Southwest Medical University  Luzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shi","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics Affiliated Hospital, Southwest Medical University  Luzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-57696-2"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000291"},{"issue":"11","key":"e_1_2_13_4_1","first-page":"921","article-title":"Guidelines for Diagnosis and Treatment of Adult Femoral Neck Fractures","volume":"20","author":"Zhang C.","year":"2018","journal-title":"Chinese Journal of Orthopaedic Trauma"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40001-021-00556-0"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-017-3587-y"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2014.10.010"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001444"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0300060520903669"},{"issue":"24","key":"e_1_2_13_10_1","first-page":"2221","article-title":"Femoral Neck System Versus Cannulated Screws Forfixation of Femoral Neck Fractures","volume":"31","author":"Wang F.\u2010L.","year":"2023","journal-title":"Orthopedic Journal of China"},{"issue":"22","key":"e_1_2_13_11_1","first-page":"2044","article-title":"Risk Factors of Femoral Head Necrosis After Internal Fixation for Femoral Neck Fracture in the Young and Middleaged","volume":"26","author":"Zhi\u2010Kun Z.","year":"2018","journal-title":"Orthopedic Journal of China"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000128296.28666.35"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmpb.2021.106409"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-022-03407-8"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12938-023-01083-1"},{"issue":"14","key":"e_1_2_13_16_1","first-page":"1213","article-title":"Arterial Topographic Anatomy Near the Femoral Head\u2010Neck Perforation With Surgical Relevance","volume":"99","author":"Rego P.","year":"2017","journal-title":"Journal of Bone and Joint Surgery. 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